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PM News |
The Voice of Podiatrists
Serving Over 13,500 Podiatrists Daily
July 05, 2012 #4,506 Publisher-Barry Block, DPM, JD
A service of Podiatry Management http://www.podiatrym.com E-mail us by hitting the reply key. COPYRIGHT 2012- No part of PM News can be reproduced without the express written permission of Kane Communications, Inc.
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PODIATRISTS IN THE NEWS |
FL Podiatrist Discusses Treatment of Bunions
We've all heard that those sky-high heels aren't the best for your foot, and they can be harmful for women with an existing foot malformation such as a bunion. An abnormality of the big toe joint, bunions form when the big toe pushes up against the other toes forcing the joint in the opposite direction. "It's also the deviation and the angle between the first and second toe bones called the metatarsal bones. And that deviation can get worse with time," says Dr. Andrew Belis, a podiatrist and foot and ankle surgeon on Lee Memorial Health System's medical staff.
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Dr. Andrew Belis |
Doctors have several options for treating bunion pain. "Sometimes just a simple matter of wearing wider shoes or more supportive shoes. If there's some joint pain associated with the problem, then sometimes we can offer them palliative care, possibly an injection or medication to calm it down," says Dr. Belis. Using orthotics, which are molded shoe inserts, may help alleviate the pain and slow the growth process. As far as correcting the problem surgically, "there are different options nowadays, and a lot newer technology that's being offered, and a lot more variety of different surgeries," says Dr. Belis.
Source: Amy Oshier, WNBC [7/3/12]
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PODIATRISTS IN THE NEWS - PART 2 |
NY Podiatrist Discusses Onychomycosis
An estimated 35 million Americans have onychomycosis, and you can understand why -- despite having spent more than $350 million in 2010 alone trying to get rid of it -- they don't much like discussing it: Toenails turn embarrassingly yellow and crumbly from fungi that squeeze under them and then hide out. And, oh, yes, for reasons not clearly understood, the fungi dig in even deeper as we age.
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Dr. Krista Archer |
"Feet are the most neglected body part until there is a problem," says Dr. Krista Archer, a Manhattan foot specialist and podiatric surgeon. While some people are genetically prone to onychomycosis, others -- including swimmers and athletes -- unintentionally leave themselves open to it because of certain behavioral patterns. Maybe they go barefoot in public areas. Or maybe their feet are often damp -- just the environment that fungi thrive in.
Source: Palos Verdes News [7/4/12]
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AT THE COLLEGES |
NYCPM Faculty and Students Conduct 8th Annual West Point Boot Fit
Faculty members from the New York College of Podiatric Medicine (NYCPM), along with twenty of the school’s students, on July 3rd and 5th worked feverishly to fit the more than 1,200 new cadet candidates of the U.S. Military Academy at West Point with properly-fitting boots. The NYCPM volunteers found cadet candidates with a variety of pre-existing problems, ranging from blisters to bunions, hammertoes, and other conditions, and referred them to their company medic. Properly-fitting boots go a long way toward maintaining the cadets’ foot health and, as a result, their overall health and their ability to meet the Academy’s demanding expectations.
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NYCPM Faculty and Student Volunteers with Col. Neely (in Army uniform) |
Leading the effort were Col. Michael Neary, DPM, MBA, Chief of the Podiatry Service at Keller Army Community Hospital, and Michael J. Trepal, DPM, NYCPM’s Vice President for Academic Affairs and Dean. Other NYCPM faculty members taking part were Russell G. Volpe, DPM, Susan M. Rice, DPM, and Jose Loor, DPM.
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ON THE LECTURE CIRCUIT |
NY and IL Podiatrists Featured at NCVH Annual Meeting
Drs. Marc A. Brenner and Stephanie Wu moderated the wound care sessions at the prestigious New Cardio Vascular Horizons (NCVH) meeting in New Orleans. Dr. Wu's lecture was "Detection and Identification of PAD in Patients with Diabetes." Dr. Brenner's lectures were: "You Bring Me the Blood, I'll do my Job", "Exotic Cutaneous Lesions for Wound Healers", "Keep them Walking after Digital Amputation," and "Interprofessional Relationships Between Podiatric Medicine and Vascular Surgery."
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Dr. Marc Brenner and Stephanie Wu |
"The meeting was a great success. It was well attended by a diversified group of physicians and healthcare professionals," says Brenner, Co-Chair of the NCVH meeting. "Limb salvage requires a highly dedicated interprofessional team, and this collaboration was the core of the meeting."
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QUERIES (NON-CLINICAL) |
Query: Vasospect Supplies
The Vasospect was a neat, rechargeable battery-operated photoplethysmograph that was accurate in the analysis of degrees of venous insufficiency. It is out of production and the company that carried on support (electrode tape, ink refills) is also defunct. Does anyone out there know of supplies for this unit?
Robert Teitelbaum, DPM, Naples, FL, mfvandange@aol.com
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RESPONSES/COMMENTS (CLINICAL) |
RE: Newton Running Shoes and Forefoot Pain (Pete Smith, DPM)
From: Dennis Claire, DPM
It's likely the Newtons have contributed to the forefoot and Achilles pain. They promote a midfoot/forefoot running form with internal lugs that help transfer the runner's weight forward. In addition, the Insanity workout videos likely contributed just as much to the forefoot pain and Achilles insertional tendonitis. These 40-minute high intensity exercises put the person on the ball of the foot through much of the workout, which includes lots of jumping, squatting, burpees, planks, jump-roping, and more. All of these exercises are ballistic movements which place significant loads at the Achilles and ball of the foot.
I'm a supporter of minimalist/barefoot running because I believe it encourages a more efficient way to run, but it can be dangerous to immediately switch into (The same can be said for the Insanity workouts and other high intensity interval training (HIIT) like bootcamp and Crossfit). Forefoot and Achilles injuries seem to be the most common.
With running, a gradual, guided program to switch to a midfoot strike is essential. I suggest patients perform gastroc-soleus stretches until they can attain 15-20 deg. dorsiflexion (extended knee) before they even begin in minimalist shoes. They also need to cut their miles back significantly or begin with just 1/2 mile or less in minimalist or Newton shoes as well as perform form drills and dynamic stretching. Runners who want to transition must put in the time on form and technique and let go of the weekly mileage/PR/pace/race focus that many have.
Dennis Claire, DPM, Bangor, ME, donncha10@yahoo.com
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RESPONSES/COMMENTS (EMR) |
RE: EHR Exemption for Small Practices? (Michael Brody, DPM)
From: Mark H. Sugar, DPM
I am 65 years old and in practice since 1974. After scrutinizing EMR or EHR last year for thousands of dollars, I decided that I would not participate in this program, take my lumps and bumps, and forego the meaningful use incentive payments by the government. I would like to address Dr. Brody's comments and ask what penalties will be enforced in 2016 when I may very well be out of podiatry; and also address the issue of electronic referrals (which at this time make up less than 1% of my referrals in my practice). My feeling is that I can conduct my solo practice until I retire successfully and without EHR. Am I wrong? Are there others who feel as I do?
Mark H. Sugar, DPM, Hyattsville, MD, msugar8364@aol.com
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RESPONSES/COMMENTS NON-CLINICAL) - PART 1 |
RE: Nurse Practitioners Modernization Act
From: Robert Bijak, DPM
In the midst of back slapping the success of the NYS scope law increase (for a few DPMs only), the NYS Assembly PASSED the "Nurse Practitioners Modernization Act" (NYSA05308A), whereby after 3 years of working with a physician sponsor, (ALL) nurse practitioners may independently open their own office (with no further exams) and "practice to the full extent as a physician in that specialty." They need no co-signing of any prescriptions.
It was interesting to note that the opponents referenced podiatry as another NON-physician group trying to increase scope. The dissenting legislators were clear that the line between non-physicians and physicians is being blurred to the detriment of the public in that non-MD/DO school-trained providers did not have the depth of education and training "to call upon their broad knowledge in even the most mundane exam," thereby not giving the patient the quality of care of a real physician.
It's clear to me that our present trajectory is at best keeping up with nurses, and it is imperative that an immediate declaration be made by the APMA and the schools that the DPM program (philosophy of practice) will be a plenary program, as the DOs have made the musculoskeletal system their "raison d'etre" (reason for existence). The medical paradigm is changing, and unless we jump up to the next level. we will continue to be an allied profession like nurses, pharmacists, and physical therapists, all who are also trying to sue their way to increased scope.
Robert Bijak, DPM, Clarence Center, NY rbijak@aol.com
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MEETING NOTICES - PART 1
![AAPPM](http://images3.podiatrym.com/pmphotos2011/AAJF.jpg)
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RESPONSES/COMMENTS NON-CLINICAL) - PART 2 |
RE: Unrestricted Medical Licenses (Larry Kansky DPM, JD)
From: Elliot Udell, DPM
My apologies to Dr. Kansky and others if my comments made in an earlier posting landed as a broad condemnation of PA's and nurse practitioners. As an allergy sufferer, my practitioner of choice, when feeling ill, is the PA who works for my allergist. Many other patients share these fond sentiments for him.
My response, however, was to Dr. Levy's comment that in this day and age, even though a person with four years of medical school and one year of internship could legally do open heart or brain surgery, no hospital would allow it unless the practitioner had many years of surgical training and passed boards in his or her respective surgical specialty. In this context, the same should apply to PAs and nurse practitioners.
As consumers of medical care, we deserve to get...
Editor's note: Dr. Udell's extended-length letter can be read here.
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MEETING NOTICES - PART 2 |
Codingline & PM News In conjunction with AAPPM Present
The Greenbrier Coding & Practice Management Workshop - August 20-22
(Following the 2012 APMA Annual Scientific Meeting in Washington, DC)
![](http://images3.podiatrym.com/pmphotos2011/PMNews7030.jpg) |
World Class Golf at the Greenbrier |
Coming to Washington D.C. for the National? Don't miss out on being treated like a President and First Family. Enjoy world class amenities including golf, tennis, spa, casino and children's programs.
Speakers: Harry Goldsmith, John Guiliana, Barry Block, Michael Brody, Paul Kesselman, Jonathan Moore, Rem Jackson, Chad Schwarz, and other nationally-known authorities in morning-only presentations.
RESERVE YOUR UPGRADED ROOM NOW
Click Here for information or to Register
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CLASSIFIED ADS |
WANTED TO PURCHASE- PINPOINTE LASER
Seeking to purchase Pinpointe used laser. Willing to pay top dollar. Please contact us at: sbalandrano@zapnails.com or (1) 713-541-3764. Product Information: Product: PinPointe (Patholase) Company: Cynosure / PinPointe Type: Nd:YAG Options: Podiatry/Toenail
SPACE AVAILABLE - NYC & LI
Office to sublet and share - East 60th Manhattan, and Plainview, Long Island. access to an MRI, Joint Commission certified operating rooms, digital x-ray, diagnostic ultrasound, and access to a multi-specialty ambulatory surgical center. Also availability E 22nd between 2nd and 3rd and E 70th off 3rd. Turn-key operation - no investment needed 516 476-1815 PODO2345@AOL.COM
PRACTICE FOR SALE - BALTIMORE, MARYLAND
Established 40+ year old well-rounded practice of both surgical and non-surgical care with special emphasis on sports medicine. Medicare and BS/private insurance base, no Medical assistance. Needs to transition to a confident well trained individual. Purchase can include building. Contact: podiatrypracticesale@gmail.com
ASSOCIATE POSITION – NORTHERN CALIFORNIA/BAY AREA
We’re looking for someone entrepreneurial who can help grow our practice. Must have great people skills, clinical/surgical skills, and positive demeanor. California license required. Send your CV and cover letter to cvpodiatrist@gmail.com
ASSOCIATE POSITION – MANHATTAN
Podiatrist needed for busy state-of-the-art offices in Manhattan. Offices are located near Penn and Grand Central Station. 10+ years experience only and an out-of-network doctor for most insurances. Please forward your information and CV to: roni@myfcny.comASSOCIATE POSITION - QUEENS AND NYC
Part -time position PSR 24 min. Must have friendly, confident personality with great communication skills and training to back it up! All phases of podiatry. Hosp, office, and surgery center priv's. Experience helpful, but willing to train the right person. This position has definite full-time, partnership a/o buy-out potential. It is a meritocracy! You will keep 25-35% of your net revenues. No base salary or benefits until you are a proven entity. You build it, you will keep it! If this sounds like something you really want, please email hansfeet2@gmail.com
ASSOCIATE POSITION - OHIO
Ohio practice with excellent reputation and patient base seeks to hire a Podiatric Surgeon. The offices are state of the art including Digital X-Ray, EMR, Diagnostic ultrasound, Padnet Vascular Testing, CO- 2 Lasers all aspects of DME. The base salary is $120,000 with a bonus structure and benefits also would like to have this individual buy into the practice eventually. Please send CV to: Ohiopodiatrist@aol.com
ASSOCIATE POSITION - CENTRAL FLORIDA
Podiatrist licensed in FL to work in practice in central Florida with buy-in option. Practice in building built for podiatry. Excellent opportunity for new or experienced podiatrist to work, purchase practice, lease, or purchase building in great area to live and grow. CV tofootsailor@earthlink.net
ASSOCIATE POSITION - BOSTON/CAPE AREA
Boston/Cape Area Practice looking for physician experienced in surgical and medical care in office, clinical, and nursing home settings. Practice will provide opportunity to utilize training immediately. Both surgical and non-surgical applicants. Email CV to: drjaa@verizon.net
ASSOCIATE POSITION - DAYTON, OHIO
Seeking motivated PSR 24/36 trained Podiatrist for busy established practice; EMR established; Good surgical opportunity; Competitive salary and benefits. Send CV to:podreply@gmail.com
ASSOCIATE POSITION - WASHINGTON
A well-established practice with 4 locations in and around Seattle is seeking a full time/part-time associate podiatrist. Position involves clinical, nursing homes, laser therapy. Applicant should be well trained physician and a motivated, energetic self-starter, completed minimum a 24-month residency. Please send inquiries to: isbinc2006@gmail.com
ASSOCIATE POSITION- SEATTLE, WA AREA
Established podiatric clinic looking for an associate to join our team, 5 offices located around the greater Seattle, WA area. Great base salary, benefits and friendly work environment. Please send resume to: seattlefootdoctor@yahoo.com
ASSOCIATE POSITION-WEST COAST, FLORIDA
Outstanding opportunity for PSR-36 graduate to join successful group podiatry practice. Seeking a sociable, articulate graduate who is confident in rearfoot and ankle reconstructive cases but also enjoys all phases of podiatry. Long-term opportunity for the right candidate with generous pay and benefits. Reply to jwicks@cortezfootandankle.com
ASSOCIATE POSITION - POSITION NJ
Service Nursing Homes throughout NJ, perform house calls in Passaic County and others. Recent Residency Graduates welcome. A team player who is reliable, hard working, loyal, and skilled. Send resume before calling to: jaypurvin@gmail.com Phone 516-375-9224
ASSOCIATE POSITION- HUDSON VALLEY REGION, NY
Unique opportunity for the right person! We’re looking for a personable, motivated individual who seeks opportunity and security in a high-end, multi-office group practice. An incredible position for the right person. Please forward CV and cover letter to:healthyfeet4ever@yahoo.com.
EQUIPMENT FOR SALE - USED PODIATRIC LASERS
Great price, great outcome. Stop wasting money on expense lasers. Personally owned and used few hours in my office,. 10 and 30 watts lasers. Two handpieces in one. First one for plantar fasciitis, Achilles tendonitis, arthritis, pain, inflammation. 2nd handpiece for surgical ablation and fungus toenail conditions. Portable fast and very cost-effective. footcare@comcast.net
EQUIPMENT FOR SALE
Retiring from practice. Equipment For sale. Mini x-ray. One year old Ultrasound with MS arterial/venous X-ray plates. Great condition Ritter chairs. Drills, surgical tools. So much. Just ask, I probably have it: Footcare@comcast.net
PM News Classified Ads Reach over 13,500 DPM's and Students
Whether you have used equipment to sell or our offering an associate position, PM News classified ads are the fastest, most-effective way of reaching over 13,500 DPM's. Write to: bblock@podiatrym.com or call (718) 897-9700 for details. Weekly ad rates start as low as $115 for a 50-word ad. THIS OFFER DOES NOT APPLY TO BUSINESSES PROVIDING PRODUCTS OR SERVICES. Note: For commercial or display ads contact David Kagan at (800) 284-5451.
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Disclaimers |
Acceptance and publication by this newsletter of an advertisement, news story, or letter does not imply endorsement or approval by Barry Block or Kane Communications of the company, product, content or ideas expressed in this newsletter. Podiatric Medical News does not represent the views, and is a separate entity from Podiatry Management Magazine and Podiatry Management Online. Any information pertaining to legal matters should not be considered to be legal advice, which can only be obtained via individual consultation with an attorney. Information about Medicare billing should be confirmed with your State CAC.
THIS MESSAGE IS INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHICH IT IS ADDRESSED AND MAY CONTAIN INFORMATION THAT IS
PRIVILEGED, CONFIDENTIAL AND EXEMPT FROM DISCLOSURE.
If the reader of this message is not the intended recipient or an
employee or agent responsible for delivering the message to the
intended recipient, you are hereby notified that any dissemination,
distribution, or copying of this communication is strictly
prohibited. If you have received this communication in error, please
immediately notify me and you are hereby instructed to delete all
electronic copies and destroy all printed copies.
DISCLAIMER: Internet communications cannot be guaranteed to be
either timely or free of viruses.
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